W.O.R.C. Haven Inc.

LBN: W.O.R.C. Haven Inc.
W.O.R.C. Haven Inc. is an health care organization with primary practice located at 1090 Jimmy Ann Dr , Daytona Beach FL 32117-4591. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. W.O.R.C. Haven Inc. can be contacted via phone (386) 274-4228, or through Davidson, Karen via phone (305) 273-3023.

Contact Information

Primary practice address
1090 Jimmy Ann Dr Daytona Beach FL 32117-4591
Phone: (386) 274-4228
Fax: (386) 256-4874
Website:
Map and Directions
Authorized official contact:
Name: Davidson, Karen MACC
Phone: (305) 273-3023

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1568997849
LBN Legal business name W.O.R.C. Haven Inc.
DBA Doing business as
Authorized official Davidson, Karen MACC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2017
Last updated Apr 25th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568997849 NPPES
Florida MEDICAID 140559400

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